Nurse Triage Process Draws Increased Scrutiny: Top [2018-07-10]
Companies that are primarily providers of workers’ comp nurse triage services may have an incentive to recommend self-care for injured employees rather than an in-person or telemedicine visit to a doctor, according to one cost-containment company.
But the seemingly cost-saving strategy can backfire and actually increase costs, an […]
12/13/17
…David Donn, Chief Executive Officer of managed care advisory firm Donn & Co., said that while some recent progress has been made in pharmacy-benefit manager pricing transparency, that hasn’t been the case for most PBMs or for bill review, preferred provider organizations and utilization review companies.
“I’d say transparency, in general, is still given lip […]
8/24/17
…Court Orsborn, president of Donn & Co. in San Francisco, said most of the managed care advisory firm’s clients are concerned about opioids, and many are expanding their efforts to address the issue. “This is definitely something all payers should look at,” Orsborn said. “It’s one of the clearest win-wins in comp, where more […]
7/12/2017
…Court Orsborn, president of Donn & Co. in San Francisco, said physician dispensing can represent a significant percentage of some payers’ total prescription costs. Donn & Co. is a workers’ comp managed care advisory firm serving employers and carriers.
“While there are certainly some situations where physician dispensing may be appropriate, the reality is that […]
05/01/2017
…Although Alexander with PCMA said clients can specify how much transparency they want from their PBM, Orsborn said that may not be as easy as it sounds.
“A lot of PBMs are reluctant to provide pricing ‘transparency,’” Orsborn said. “You may find yourself without many options if that’s your selection criteria. And transparency may not […]
